DR. MARTIN D KILLEEN (NPI# 1225070410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225070410 |
| Entity Type | Individual |
| Full Name | DR. MARTIN D KILLEEN |
| Credential | DDS |
| Practice Address |
8020 S 13th St Lincoln NE 68512-9371 |
| Practice Telephone | 4024218020 |
| Practice Fax Number | 4024211320 |
| Mailing Telephone | 4024218020 |
| Mailing Fax Number | 4024211320 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6492 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025264500 | 05 |
| Street Address |
8020 S 13TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68512-9371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568682052 | Wilderness Station Pediatric Dentistry | Clinic/Center | 8020 S 13th St, Lincoln, NE 68512-9371 | 2007-04-26 |
| 1144241183 | Gregory Fought | Dentist | 8020 S 13th St, Lincoln, NE 68512-9371 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540673 | Unity Youth & Family Services, LLC | Counselor | 6245 Windhaven Drive, Lincoln, NE 68512 | 2020-02-21 |
| 1568961530 | Japhia Warren | Licensed Practical Nurse | 7001 S. 14th Street, Lincoln, NE 68512 | 2018-02-06 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1447774427 | Adjusted Life Chiropractic LLC | Chiropractor | 2601 Jamie Ln, Ste 104, Lincoln, NE 68512 | 2017-08-01 |
| 1144740101 | Spencer Norton Brown | Chiropractor | 2600 Jamie Ln, Suite 104, Lincoln, NE 68512 | 2017-06-21 |
| 1669826293 | Shaun Stinson | Dentist | 6835 S. 27th St., Ste 2, Lincoln, NE 68512 | 2016-04-20 |
| 1407100324 | Robert M. Lane | Chiropractor | 1245 Libra Dr., Suite 100, Lincoln, NE 68512 | 2012-10-30 |
| 1689782609 | Lynette S Erickson | Counselor | 5539 S 27th, Suite 101, Lincoln, NE 68512 | 2006-08-29 |
| 1699883561 | Duane E Wade | Physical Therapist | 5633 S 16th St Ste 600, Lincoln, NE 68512 | 2006-08-29 |
| 1548779739 | Costco Wholesale Corportation | Hearing Aid Equipment | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| Find all providers in zip 68512 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992295612 | S.y.y Jang Dds Corp | Dentist | 731 Sterling Pkwy Ste 100c, Lincoln, CA 95648-7307 | 2018-05-17 |
| 1669976684 | M. Kucera, Dds, Inc. | Dentist | 150 Gateway Dr Ste 101, Lincoln, CA 95648-3316 | 2018-03-23 |
| 1083135545 | Roy S Burkhalter IIi | Dentist | 4000 East Campus Loop, Lincoln, NE 68583-0740 | 2017-07-05 |
| 1417399502 | Tavallaei Dmd Corp | Dentist | 731 Sterling Pkwy, Suite 100, Lincoln, CA 95648-7306 | 2013-07-18 |
| 1386984441 | Gregory Fought Dds PC | Dentist | 8600 Executive Woods Dr, Suite 100, Lincoln, NE 68512-9301 | 2013-02-26 |
| 1407105299 | Lincoln Pediatric Dentistry | Dentist | 4301 S 80th St, Suite A, Lincoln, NE 68516-4404 | 2012-09-07 |
| 1568504272 | Cynthia M Chan | Dentist | 3131 O St, Lincoln, NE 68510-1534 | 2007-02-12 |
| 1457400681 | South Lincoln Pediatric Dentistry LLC | Dentist | 6030 Village Dr, Suite 100, Lincoln, NE 68516 | 2007-01-09 |
| 1427113240 | Mary Virginia Osenbaugh | Dentist | 4630 Antelope Creek Rd, Suite 140, Lincoln, NE 68506-5592 | 2006-12-22 |
| 1003975640 | Tom J Milius | Dentist | 2621 S 70th St, Ste A, Lincoln, NE 68506-2911 | 2006-12-08 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.